James Daniel Rethaber
Specialist/Technologist, Athletic Trainer in San Antonio, TX. Individual provider (NPI-1).
NPI number1477572055
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477572055
- Entity type
- Individual (NPI-1)
- Name
- James Daniel Rethaber
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT2438 | TX | Yes |
Other names
- James Daniel Rethaber (Professional Name)
Practice location
2829 Babcock Suite #700San Antonio, TX 78229
Phone 830-391-3547
Mailing address
4676 County Road 404Floresville, TX 78114-3369
Phone 830-393-9717
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